Latest / Bloomberg Law / War Power and Anniversary of Reversal of Roe v. Wad
Transcript
- 0:02Speaker 1: This is Bloomberg Law with June Grosseo from Bloomberg Radio.
- 0:09Speaker 2: US troops in the Middle East remain on high alert
- 0:12Speaker 2: as Israel and Iran appeared to be honoring a ceasefire
- 0:16Speaker 2: agreement unexpectedly announced by President Donald Trump last evening. This morning,
- 0:21Speaker 2: Trump was reacting angrily to reports of early breaches of
- 0:25Speaker 2: the deal by both sides.
- 0:28Speaker 3: Now I hear is you just.
- 0:29Speaker 4: Went out because they felt it was violated by one.
- 0:32Speaker 5: Rocket that didn't land anywhere.
- 0:34Speaker 1: That's not what we want, I'll tell you, and I'm
- 0:36Speaker 1: telling you I'm not happy about that Israel either.
- 0:39Speaker 2: Article I of the Constitution gives Congress the power to
- 0:43Speaker 2: declare war, and the War Powers Act requires the President
- 0:47Speaker 2: to consult with Congress before using military force. Democrats and
- 0:52Speaker 2: some Republican lawmakers are critical of President Trump's decision to
- 0:57Speaker 2: attack Iran's nuclear sites because Trump didn't get approval from
- 1:01Speaker 2: Congress or consult with lawmakers beforehand. Here are Democratic House
- 1:06Speaker 2: Minority Leader Hakim Jeffries and Republican Senator Lisa Murkowski.
- 1:12Speaker 6: The role of Congress is very clear. Under Article one.
- 1:15Speaker 6: It is the Congress that has the ability of the
- 1:19Speaker 6: authority to declare war. And so I think you will
- 1:22Speaker 6: see that conversation, that debate move forward this week.
- 1:26Speaker 2: But Trump administration officials have called the strikes limited actions
- 1:30Speaker 2: aimed solely at Iran's nuclear capabilities that don't meet the
- 1:34Speaker 2: definition of war. Here Secretary of State Marco Rubio on
- 1:39Speaker 2: Fox News on Sunday.
- 1:41Speaker 5: This is not a war against Iran. This is this
- 1:43Speaker 5: is very simple. You know, sixty seven days ago, the
- 1:46Speaker 5: President of the United States sent the Rantings a letter
- 1:48Speaker 5: and it said, you're not going to have nuclear weapons,
- 1:50Speaker 5: You're not going to have a militarized nuclear program. Let's negotiate.
- 1:54Speaker 5: I want to do this diplomatically. I want to do
- 1:56Speaker 5: this peacefully. They tried to play them along the way
- 1:59Speaker 5: they've played every America president for the last thirty five years.
- 2:02Speaker 5: And you know, the President told them, if we don't
- 2:04Speaker 5: get a deal, which is what we wanted, then I'll
- 2:07Speaker 5: have to handle it differently.
- 2:08Speaker 2: My guest is Joshua Castenberg, a professor at the University
- 2:12Speaker 2: of New Mexico Law School and a former judge and
- 2:15Speaker 2: prosecutor in the US Air Force. So, josh Article one
- 2:19Speaker 2: of the Constitution gives Congress the power to declare war.
- 2:24Speaker 2: Article two designates the President as commander in chief of
- 2:28Speaker 2: the Army and Navy of the United States, and sometimes
- 2:32Speaker 2: those two may seem to be in conflict.
- 2:35Speaker 1: Yeah, So the framers of the Constitution, in order to
- 2:38Speaker 1: create techs and balances on the federal government and keep
- 2:43Speaker 1: it a government of limited power, gave to the Congress
- 2:47Speaker 1: of the United States the sole authority to declare war.
- 2:50Speaker 1: So historically, what had happened prior to, you know, World
- 2:54Speaker 1: War Two, is that the President would go to Congress
- 2:58Speaker 1: and ask for a declaration of war. And in our
- 3:00Speaker 1: major conflicts with foreign countries, that's exactly what happened. And
- 3:05Speaker 1: that included the Spanish American War, the Mexican American War,
- 3:09Speaker 1: the War of eighteen twelve. Some of these were closed vote.
- 3:12Speaker 1: Certainly the War of eighteen twelve was a close vote.
- 3:15Speaker 1: World War one, the declaration of war against Germany, you know,
- 3:19Speaker 1: he had fifty members of Congress voting no on it,
- 3:22Speaker 1: so it was not unanimous. But after World War Two,
- 3:26Speaker 1: Congress stopped declaring war. You know, with the Korean War,
- 3:30Speaker 1: which Truman and others called the police Action, they at
- 3:33Speaker 1: least had the United Nations with the Security Council Resolution
- 3:37Speaker 1: empowering the United States and allies to go maintain the
- 3:41Speaker 1: integrity of the Republic of Korea. In Vietnam, there was
- 3:45Speaker 1: no declaration of war. There was the Gulf of Tonkin Resolution,
- 3:49Speaker 1: no matter how flawed that was. Only two members of
- 3:52Speaker 1: Congress voted against empowering Lyndon Johnson to ante up greater
- 3:57Speaker 1: forces and respond to attacks committed against the United States
- 4:02Speaker 1: military forces in both North and South Vietnam. You've had
- 4:06Speaker 1: authorizations for the use of force in Afghanistan and in
- 4:10Speaker 1: Iraq Security Council resolutions from the UN with operations Desert Storm.
- 4:15Speaker 1: But over and over again, our presidents are bypassing Congress,
- 4:19Speaker 1: and they're also ignoring the War Powers Act of nineteen
- 4:22Speaker 1: seventy three.
- 4:24Speaker 2: So what about these strikes on Iran ordered by the
- 4:28Speaker 2: president without consulting Congress? Are they unconstitutional?
- 4:33Speaker 1: In this case a strike on Iran. You're going to
- 4:37Speaker 1: hear legal scholars on both sides, and then you're going
- 4:40Speaker 1: to hear the our justice departments say, well, the president
- 4:43Speaker 1: had the authority to launch a single strike against Iran.
- 4:47Speaker 1: Now the president has the authority to respond to attacks
- 4:51Speaker 1: on the United States without a declaration of war under
- 4:55Speaker 1: international law. And common sense. You'd be hard pressed to
- 4:58Speaker 1: argue otherwise. But there's no clear answer here as to
- 5:03Speaker 1: whether the United States was actually threatened at this time
- 5:06Speaker 1: by Iran. And Trump did not go to Congress. He
- 5:10Speaker 1: informed some Republicans that we were likely to strike Iran
- 5:15Speaker 1: because they had moved closer to the production of a
- 5:17Speaker 1: nuclear weapon, but that's far short of asking Congress for
- 5:21Speaker 1: permission to go ahead.
- 5:22Speaker 7: And do it.
- 5:23Speaker 1: The Justice Department gave very tepid support to it and
- 5:26Speaker 1: said he had the authority to do it under the Constitution,
- 5:29Speaker 1: but probably go no further. But unlike even in Syria,
- 5:33Speaker 1: where Congress has funded military operations, there's no specific funding
- 5:38Speaker 1: that anyone could point to that would give Trump the
- 5:42Speaker 1: outright legal authority to launch strikes into Iran. So what
- 5:47Speaker 1: we're left with is, is there something that a president
- 5:51Speaker 1: has under the Constitution that's not written in the Constitution,
- 5:56Speaker 1: that's inherent that would allow the president to strike under
- 5:59Speaker 1: these ccumstances or not. And you know, by and large,
- 6:03Speaker 1: Congress has decided not to weigh in on these issues.
- 6:07Speaker 1: They had an opportunity to do it with the Nixon
- 6:09Speaker 1: impeachment in nineteen seventy four over Nixon's expansion of the
- 6:14Speaker 1: war into Cambodia, but the senior Democrats on the House
- 6:18Speaker 1: Judiciary Committee said, no, we're not going to include that
- 6:20Speaker 1: as an article of impeachment. We've got them on the
- 6:22Speaker 1: other stuff. And ever since then, Congress has given presidents
- 6:26Speaker 1: a pass for violating the War Powers Act. You know,
- 6:29Speaker 1: you'll hear members of Congress on both sides say it's illegal,
- 6:34Speaker 1: it's unconstitutional, but those are usually members on the extreme
- 6:37Speaker 1: wings of their party, you know, the Ran Paul's or
- 6:40Speaker 1: the aocs doing that. And so unfortunately, Congress has kind
- 6:45Speaker 1: of acquiesced to this idea of a more empowered president
- 6:48Speaker 1: than ever before, and the courts won't roll on it.
- 6:52Speaker 2: You mentioned the War Powers Act of nineteen seventy three.
- 6:57Speaker 2: Tell us what that requires of the president and how
- 7:00Speaker 2: it fits in here.
- 7:02Speaker 1: So, you know, if you go back to the Vietnam
- 7:04Speaker 1: conflict and the Gulf of Tonkin Resolution, Congress wanted to
- 7:09Speaker 1: sort of make amends for punting on the war and
- 7:12Speaker 1: allowing Lyndon Johnson to go from sixteen thousand, you know,
- 7:16Speaker 1: military advisors under the Gulf of Tonkin Resolution to almost
- 7:19Speaker 1: six hundred thousand servicemen and women fighting in the Vietnam War,
- 7:25Speaker 1: and also make sure that a president does not expand
- 7:28Speaker 1: wars like Nixon did into you know, the aerial attack
- 7:31Speaker 1: in Cambodia in nineteen sixty nine and the invasion in
- 7:35Speaker 1: seventy and then the air war again in nineteen seventy
- 7:38Speaker 1: two seventy three. So in nineteen seventy three, Congress passes
- 7:42Speaker 1: this War Powers Act, Nixon vetos it, but then Congress
- 7:46Speaker 1: passes it over the veto. So it's a really robust act.
- 7:50Speaker 1: And here are the provisions of the Act that if
- 7:53Speaker 1: there's an absence of a declaration of war by Congress,
- 7:58Speaker 1: the President of the United States has to routinely consult
- 8:02Speaker 1: with Congress until US armed forces are no longer engaged.
- 8:06Speaker 1: Now we know that didn't happen in this incident. I mean,
- 8:10Speaker 1: obviously it was a one time air strike. But it
- 8:13Speaker 1: seems to me that there was a violation of a
- 8:15Speaker 1: War Powers Act when President Trump brought in a couple
- 8:19Speaker 1: of trusted Republicans into the office and said, hey, we're
- 8:22Speaker 1: going to go ahead.
- 8:23Speaker 7: And do this.
- 8:24Speaker 1: The president has to do it in forty eight hours
- 8:26Speaker 1: in writing to the Speaker of the House of Representative
- 8:30Speaker 1: after the strike that didn't seem to be done either.
- 8:33Speaker 1: Then there's other parts of the War Powers Act which
- 8:36Speaker 1: don't necessarily apply right now, but they could, and that is,
- 8:40Speaker 1: if the president deploys ground forces or air forces passed
- 8:44Speaker 1: sixty days, it would need congressional approval to do so.
- 8:50Speaker 1: And I don't think that's going to come into play,
- 8:52Speaker 1: considering Trump has argued that there's a cease fire that exists,
- 8:56Speaker 1: and there seems to be something of a tenuous cease
- 8:58Speaker 1: fire before. Trump seem to have violated the War Powers
- 9:03Speaker 1: Act in Somalia forming Yugoslavia with Bill Clinton, George W.
- 9:07Speaker 1: Bush and the like.
- 9:09Speaker 8: You know.
- 9:09Speaker 1: On the other hand, one could make the argument that
- 9:12Speaker 1: if you have forward deployed B two bombers in Diego,
- 9:15Speaker 1: Garcier or Guam place to strike Iran again, the president
- 9:20Speaker 1: has to get specific approval from Congress to do that.
- 9:23Speaker 1: They're going to say he doesn't, and I think you'll
- 9:25Speaker 1: hear some grumbling in Congress. Democrats will say he does,
- 9:29Speaker 1: but it'll go nowhere.
- 9:30Speaker 2: Has anyone tried to get the courts involved in this before?
- 9:34Speaker 1: Yeah, So what the courts have said, basically is that
- 9:37Speaker 1: this question is a nonju justiciable political question. In other words,
- 9:42Speaker 1: it's outside of the competency of the federal judiciary to
- 9:47Speaker 1: roll upon. It's the political question, and therefore it goes
- 9:52Speaker 1: to the Congress to do with what they may. They
- 9:54Speaker 1: can impeach a president, they have the power of the purse,
- 9:58Speaker 1: they can inquire and the but the Court simply will
- 10:01Speaker 1: not respond directly on this point. And you know, on
- 10:04Speaker 1: top of that, there have been members of the Supreme
- 10:07Speaker 1: Court Scalia, notably that question whether the War Powers Act
- 10:12Speaker 1: was even constitutional. But again, that Act has never seen
- 10:16Speaker 1: the light of day in the Supreme Court because of
- 10:19Speaker 1: the political question doctrine.
- 10:22Speaker 2: Coming up next, what about an authorization for the use
- 10:25Speaker 2: of military force? President George W. Bush was the last
- 10:29Speaker 2: US president to successfully seek one in separate request for
- 10:34Speaker 2: Afghanistan and Iraq before ordering invasions of those countries in
- 10:38Speaker 2: two thousand and one. In two thousand and three, I'm
- 10:41Speaker 2: June Grosso. When you're listening to Bloomberg, Democrats and some
- 10:44Speaker 2: Republicans are criticizing President Trump's decision to attack Iran's nuclear sites,
- 10:51Speaker 2: saying the strikes were unconstitutional and illegal because Trump didn't
- 10:55Speaker 2: get approval from Congress or consult with lawmakers beforehand. In fact,
- 11:00Speaker 2: today House Democratic Caucus Chair Pete Aguilar complained that members
- 11:05Speaker 2: of Congress still hadn't gotten a briefing from the Trump administration,
- 11:10Speaker 2: though one had been scheduled and then canceled.
- 11:13Speaker 3: It is completely unacceptable that Congress has not been briefed
- 11:17Speaker 3: on this in a timely fashion. We need evidence, we
- 11:21Speaker 3: need details, and we need to know them now. There
- 11:25Speaker 3: are a number of outstanding questions, including whether this attack
- 11:29Speaker 3: achieved the administration's stated goals. Launching an attack without congressional
- 11:34Speaker 3: authorization is wrong, but.
- 11:36Speaker 2: Trump administration officials have said the strikes don't meet the
- 11:40Speaker 2: definition of war, and House Speaker Republican Mike Johnson has
- 11:45Speaker 2: said he doesn't think a war powers resolution is necessary.
- 11:49Speaker 7: The manner chief has Article two responsibilities. They're very serious
- 11:52Speaker 7: and important, especially in times like this. I think he
- 11:55Speaker 7: used that authority judiciously.
- 11:58Speaker 2: Democratic Senator Tim Kaine Virginia has introduced a war powers
- 12:02Speaker 2: resolution against Trump, seeking to bar the president from taking
- 12:07Speaker 2: further military action in Iran without congressional approval. As of yet,
- 12:12Speaker 2: a vote on that resolution has not been scheduled. A
- 12:15Speaker 2: similar resolution has been introduced by lawmakers from both parties
- 12:19Speaker 2: in the US House. I've been talking to Joshua Castenberg,
- 12:23Speaker 2: a professor at the University of New Mexico Law School
- 12:26Speaker 2: and a former judge and prosecutor in the US Air Force.
- 12:30Speaker 2: Let's talk about an authorization for the use of military force.
- 12:35Speaker 2: George W. Bush was the last president to successfully seek
- 12:40Speaker 2: an authorization for the use of military force in separate
- 12:44Speaker 2: requests in Afghanistan and Iraq before ordering invasions of those
- 12:49Speaker 2: countries in two thousand and one. In two thousand and three.
- 12:53Speaker 2: Where would that fit in in this scenario.
- 12:56Speaker 1: Well, you know, if Congress gives the president the authorization
- 12:59Speaker 1: for the US is the military force. In many instances
- 13:03Speaker 1: that make sense because if you're fighting a non state
- 13:07Speaker 1: actor like al Qaeda, you can't really declare war on
- 13:11Speaker 1: a non state actor. And so what Congress is essentially
- 13:15Speaker 1: saying to a president is we're going to fund the
- 13:18Speaker 1: military campaign against al Qaeda, you know, against Iraq. The
- 13:23Speaker 1: Congress didn't want it, for whatever reason, declare war against
- 13:26Speaker 1: sade Mussein in the Iraqi government because it would have
- 13:29Speaker 1: been applied, I suppose, but it was a declaration of
- 13:32Speaker 1: war against the Iraqi people, and they wanted to avoid that.
- 13:35Speaker 1: So they authorized the use of military forces in Iraq,
- 13:38Speaker 1: but specifically to remove weapons of mass destruction. So it's
- 13:44Speaker 1: like an authorization for the use of force short of
- 13:47Speaker 1: a declaration of war, you know, for a defined purpose
- 13:51Speaker 1: and an agreement with the executive branch that there will
- 13:54Speaker 1: be funding for that military operation. Like I said, it's
- 13:58Speaker 1: far short of a declaration of war, but it at
- 14:02Speaker 1: least is a constitutional process.
- 14:05Speaker 2: When there are sustained military actions. Have presidents in the
- 14:09Speaker 2: past generally sought approval from Congress?
- 14:14Speaker 1: Well, yeah, I mean George W. Bush, you know, sought
- 14:17Speaker 1: approval from Congress for funding for the authorization for the
- 14:21Speaker 1: use of force against both you know, Afghanistan, al Qaeda
- 14:26Speaker 1: and Iraq. President Obama sought continuing appropriations. I think there
- 14:31Speaker 1: was an authorization thought by Ronald Reagan in regard to
- 14:35Speaker 1: you know, the Caribbean Island. You know, it seems like
- 14:39Speaker 1: so many many years ago, you know, Lyndon Johnson sought
- 14:42Speaker 1: an authorization for funding for the Dominican Republic operations of
- 14:47Speaker 1: nineteen sixty five. But here when we have this attack
- 14:52Speaker 1: on Iranian nuclear sites, there's been no request for the
- 14:56Speaker 1: use of force. It was just done.
- 14:58Speaker 2: Is that sort of in line with what a lot
- 15:01Speaker 2: of other presidents have done. I mean, we've seen a
- 15:04Speaker 2: lot of targeted attacks ordered by presidents, and it seems
- 15:08Speaker 2: like in recent years neither party has sought to limit
- 15:13Speaker 2: the president's authority in matters like this.
- 15:17Speaker 1: Yeah, I mean this in a sense, Trump isn't really
- 15:21Speaker 1: doing something novel. You can go back to, you know,
- 15:25Speaker 1: the Navy patrolling the Straits and Foremos during the Reagan administration,
- 15:29Speaker 1: and we certainly engaged in some firefights with the Iranian
- 15:34Speaker 1: military in those days. You know, it's a question about
- 15:38Speaker 1: what exactly was permissible in Syria during you know, the
- 15:42Speaker 1: Obama and first Trump administration. Same with with Libya. But
- 15:47Speaker 1: there was consultation with Congress during that time. Not necessarily
- 15:53Speaker 1: popular support in Congress, but at least there was consultations
- 15:57Speaker 1: with Congress over those operations. What sets this apart is
- 16:02Speaker 1: it doesn't seem like there was a consultation with Congress
- 16:06Speaker 1: before the strike, and I think that makes this situation unique.
- 16:11Speaker 1: And some people might say, well, that's incredibly nuanced, but
- 16:14Speaker 1: it does separate it from from prior military action because.
- 16:20Speaker 2: There's a difference between informing and consulting.
- 16:23Speaker 1: Well, there is absolutely and consulting seems to me that
- 16:28Speaker 1: you have trusted leaders in both parties and you don't
- 16:32Speaker 1: just cherry pick and say, well, I'm going to get
- 16:35Speaker 1: my yes people around me, be four or five of them,
- 16:38Speaker 1: and say hey, we're going to do this, but don't
- 16:40Speaker 1: share it with anybody else. I mean, consulting means that
- 16:44Speaker 1: the committees, you know, the Armed Services Committee or the
- 16:48Speaker 1: Intelligence Committee, generally those committees, particularly in the Senate, get
- 16:53Speaker 1: along with each other. Those are the non contentious, you
- 16:56Speaker 1: know committees. Generally, they're trust worthy, and that's who presidents
- 17:01Speaker 1: have consulted with.
- 17:03Speaker 2: And Congressional leaders are still waiting for their classified briefing
- 17:08Speaker 2: that was scheduled for today and then canceled and apparently
- 17:12Speaker 2: not rescheduled yet. Thanks so much, Josh. That's Professor Johnshua
- 17:16Speaker 2: Castenberg of the University of New Mexico Law School.
- 17:20Speaker 4: Good afternoon. I'm here today with an incredible group of champions,
- 17:24Speaker 4: members of Congress, and advocates for reproductive freedom here in
- 17:31Speaker 4: the United States of America. Today we solemnly gathered to
- 17:36Speaker 4: mark the anniversary of the Dobbs decision, one of the
- 17:43Speaker 4: most unconscionable and Unamerican decisions in the history of the
- 17:49Speaker 4: United States of America.
- 17:51Speaker 2: House Minority Leader Hakim Jeffries joined with other Democratic members
- 17:56Speaker 2: of the House to mark the third anniversary of the
- 17:59Speaker 2: Supreme Court decision that took away the constitutional right to abortion,
- 18:04Speaker 2: established nearly fifty years earlier in the case of Roe
- 18:08Speaker 2: versus Wade. The Dobbs decision represented the first time in
- 18:12Speaker 2: our country's history that the Court has taken away a
- 18:16Speaker 2: constitutional right. The decision upended the politics of abortion. Seventeen
- 18:21Speaker 2: states have six week or total bans on abortion, and
- 18:25Speaker 2: now anti abortion activists are pushing for new restrictions on
- 18:29Speaker 2: prescribing and dispensing mifipristone, the method that has become the
- 18:34Speaker 2: most widely used form of abortion care today. Democratic Senator
- 18:38Speaker 2: Patty Murray of Washington warned about the possible consequences of
- 18:43Speaker 2: the review of the data on mifipristone ordered by Health
- 18:47Speaker 2: and Human Services Secretary Robert F. Kennedy Junior.
- 18:51Speaker 8: Trump's FDA recently announced it will undertake a comprehensive review
- 18:55Speaker 8: of mifipristone. Why because of discredited junk sign It's from
- 19:00Speaker 8: the same anti abortion activists who helped write Project twenty
- 19:04Speaker 8: twenty five, and unfortunately we know exactly where this is going.
- 19:09Speaker 8: Trump ripping Christone off the shelves, reinstating unnecessary restrictions, banning
- 19:16Speaker 8: telehealth prescriptions, and curtailing access in every single state.
- 19:21Speaker 2: My guest is healthcare attorney Harry Nelson, a partner at
- 19:24Speaker 2: leech Tishman Nelson Hardiman. Harry tell us about the landscape
- 19:29Speaker 2: of abortion since the Supreme Court's Dobbs decision, which overturned
- 19:34Speaker 2: roe versus Wade.
- 19:35Speaker 7: Today is the third anniversary of the Dobbs decision overturning
- 19:39Speaker 7: Roby Wade. So what happened in the last three years
- 19:42Speaker 7: is that, depending on how you count, twelve or thirteen
- 19:44Speaker 7: states have enacted what are effectively near total bans prohibiting abortion.
- 19:50Speaker 7: In a handful of states to Dave's mother's life, about
- 19:54Speaker 7: five or six dates have passed partial bans by putting
- 19:58Speaker 7: early justational limits where any kind of abortion is banned
- 20:03Speaker 7: after a fetal heartbeat is detected, which is usually six weeks.
- 20:08Speaker 7: So between those two categories we have nineteen or twenty
- 20:11Speaker 7: states that have put in bands that we have a
- 20:14Speaker 7: few other states that have put in second trimester bans
- 20:17Speaker 7: on abortions that we're legal in the time of Roe v. Wade,
- 20:22Speaker 7: So that's been a huge restriction. We've had voters in
- 20:24Speaker 7: a number of states, you know, voting to keep abortion
- 20:28Speaker 7: rights in place, in states like Missouri and Arizona, states
- 20:33Speaker 7: where they struck down bands. And then there's legislation in
- 20:36Speaker 7: at least ten or twelve states to protect abortion rights
- 20:41Speaker 7: more expansively, including to allow doctors in those states to
- 20:45Speaker 7: practice across state lines through what are called shield laws.
- 20:49Speaker 7: So we've seen really a complete remaking and carving up
- 20:53Speaker 7: of the map of different states taking hostile positions, taking
- 20:58Speaker 7: protective positions, and a very different looking America than we
- 21:01Speaker 7: had with respect to abortion three years ago.
- 21:04Speaker 2: Harriet may seem surprising to some that despite all the
- 21:07Speaker 2: states with near or total bands on abortion, that the
- 21:11Speaker 2: number of abortions in this country has steadily increased according
- 21:15Speaker 2: to new data from the Society of Family Planning. Explain
- 21:20Speaker 2: why the numbers are increasing.
- 21:22Speaker 7: Yeah, it's a really interesting phenomenon. I think in many ways,
- 21:26Speaker 7: the discussion of all these abortion restrictions has kind of
- 21:30Speaker 7: drawn attention to the availability of abortion via telemedicine and
- 21:36Speaker 7: via medications that women can take in the privacy of
- 21:40Speaker 7: their own homes. So we've created a much greater level
- 21:44Speaker 7: of awareness of abortion options. We've created just a much
- 21:48Speaker 7: more educated group of patients who understand what their options are,
- 21:53Speaker 7: and we've created options for cross state patient flows, so
- 21:56Speaker 7: we've seen some patients traveling, some patients ordering medications online.
- 22:02Speaker 7: So if the goal was to actually shrink the number
- 22:05Speaker 7: of total abortions, there's actually not only no evidence that
- 22:08Speaker 7: the repeal did that, but we've actually had some kind
- 22:11Speaker 7: of a modest increase in the total volume of abortion.
- 22:14Speaker 2: So medication abortion has become the most widely used form
- 22:19Speaker 2: of abortion. It accounted for sixty three percent of all
- 22:22Speaker 2: abortions nationwide in twenty twenty three. But anti abortion activists
- 22:27Speaker 2: are pushing for new restrictions on prescribing and dispensing the
- 22:33Speaker 2: abortion drug mifipristone, and now Health and Human Services Secretary
- 22:39Speaker 2: Robert F. Kennedy Junior has ordered a review of mifa pristone.
- 22:45Speaker 2: Is that, as ominous as it sounds, MiFi pristone has
- 22:49Speaker 2: been found to be effective and safe in studies.
- 22:54Speaker 7: So the opening of pellamedicine as a means of women
- 22:59Speaker 7: getting mifipristone by mail really opened up in the pandemic
- 23:04Speaker 7: as a result of the dropping of some of the
- 23:07Speaker 7: restrictions on telemedicine and mailing of publications. In the case
- 23:11Speaker 7: of abortion, we had had a restriction in place through
- 23:15Speaker 7: an FDA process called REM's Risk Evaluation and Mitigation Strategies,
- 23:20Speaker 7: by which the medication had only been available on an
- 23:23Speaker 7: in person basis. There was a required in person review,
- 23:26Speaker 7: so that went away basically in twenty twenty one, and
- 23:30Speaker 7: that had been the law. We had a challenge last
- 23:31Speaker 7: year in the Spreme Court, where the Supreme Court unanimously
- 23:34Speaker 7: ruled that in the Alliance Forrismocratic Medicine case that there
- 23:37Speaker 7: was no standing to challenge the FDA's authority. But what
- 23:40Speaker 7: happened in May last month was that RFK, as Secretary
- 23:45Speaker 7: of the Department of Health and Human Services, directed the
- 23:48Speaker 7: FDA Commissioner to review the safety data, essentially to consider
- 23:52Speaker 7: whether there are elevated complication rates. Many people who are
- 23:57Speaker 7: observing this believe that this was a freak to essentially
- 24:02Speaker 7: a rollback of the allowance for telemedicine and mailing of
- 24:07Speaker 7: mifipristone by the FDA and a return to some kind
- 24:11Speaker 7: of restriction on the drug. Obviously, there's a lot of
- 24:14Speaker 7: concern because the clinical data does not suggest any tightened
- 24:18Speaker 7: risk or any problems that are occurring as a result
- 24:22Speaker 7: of the greater access and accessibility of mephipristone. So a
- 24:25Speaker 7: lot of people are worried that what is happening right
- 24:27Speaker 7: now is kind of a lead up to an action
- 24:30Speaker 7: later this year or next year to kind of roll
- 24:33Speaker 7: back the availability of telemedicine and mailing of medications through
- 24:38Speaker 7: FDA restriction.
- 24:39Speaker 2: Has the Trump administration also tried in different ways to
- 24:44Speaker 2: restrict access to abortions.
- 24:47Speaker 7: There are a number of other places where we can
- 24:49Speaker 7: see that the administration is acting to restrict access to abortion.
- 24:52Speaker 7: We've seen a change in the hip Hop privacy rules
- 24:55Speaker 7: where certain protections were put in to limit access to
- 25:01Speaker 7: records of providers and use privacy to protect interstate inquiries.
- 25:06Speaker 7: That executive order has been essentially canceled by the Trump administration.
- 25:09Speaker 7: We've had the Trump administration, through Health and Human Services,
- 25:13Speaker 7: dropping requirements that were imposed in the Biden administration that
- 25:17Speaker 7: hospitals you must provide abortion in life threatening emergencies. We've
- 25:22Speaker 7: had the Trump administration moving to defund clinics like planned
- 25:26Speaker 7: PARENTID clinics that are providing abortion care. And we've seen
- 25:30Speaker 7: over and over again again in the filings made on
- 25:32Speaker 7: behalf of the FDA through the Trump administration that there's
- 25:36Speaker 7: a backing off of a lot of the protection of abortion.
- 25:40Speaker 7: So all of these are kind of little piecemeal steps
- 25:42Speaker 7: by which the Trump administration is essentially looking for, whether
- 25:45Speaker 7: it's through funding or otherwise through its regulatory strategy and messaging,
- 25:50Speaker 7: to be more hostile certainly and less supportive of abortion rights.
- 25:55Speaker 2: Are there provisions in the so called Big Beautiful Bill
- 25:59Speaker 2: that would hurt abortion rights?
- 26:02Speaker 7: Yeah, there's several provisions in the Big Beautiful Bill that
- 26:07Speaker 7: would have significant implications for abortion access. Certainly, there's a
- 26:11Speaker 7: there's language to cut all Medicaid payments to clinics, including
- 26:15Speaker 7: Planned Parenthood, that provide abortions. There's a elimination of certain
- 26:20Speaker 7: costs sharing subsidies for Affordable Care Act marketplace exchange policies
- 26:26Speaker 7: that cover abortions, sort of forcing individuals to who are
- 26:29Speaker 7: on those plans to pay out a pocket for that coverage.
- 26:33Speaker 7: And there's a broader splashing of essentially, if the House
- 26:37Speaker 7: version passes eight hundred billion dollars from Medicaid, that would
- 26:42Speaker 7: definitely have an impact on unlimiting access to abortion.
- 26:46Speaker 2: Is it surprising that abortion wasn't a defining issue in
- 26:50Speaker 2: the last elections?
- 26:52Speaker 7: It was clear that it's for a majority of voters
- 26:54Speaker 7: support for abortion, you know, which remains consistent something not
- 26:58Speaker 7: quite two thirds of all Americans spreads support for abortion
- 27:01Speaker 7: being legal in all or most cases, and only less
- 27:05Speaker 7: than ten percent think it should be you know, broadly illegal. Nonetheless,
- 27:09Speaker 7: like that was not a basis on which people voted
- 27:11Speaker 7: in the presidential election, and so it's a really interesting question,
- 27:16Speaker 7: you know, how much you know the next cycle of
- 27:19Speaker 7: elections this fall and next year in the midterms are
- 27:22Speaker 7: going to be driven by abortion rights. It's very clear
- 27:26Speaker 7: that when you put the abortion issue narrowly before voters,
- 27:30Speaker 7: even in socially conservative states, you will find a majority
- 27:33Speaker 7: of voters expressing a desire for abortion access in almost
- 27:38Speaker 7: all cases. So it's only when you sort of bring
- 27:41Speaker 7: it make it create a more complicated situation of a
- 27:43Speaker 7: general election where people have to vote on a whole
- 27:45Speaker 7: series of issues, that you see abortion dropping as a
- 27:49Speaker 7: voting issue. Clearly, we see in the data that women
- 27:53Speaker 7: are more supportive than men slightly of abortion it's a
- 27:57Speaker 7: less driving issue for voting. But again, the message to
- 28:01Speaker 7: me of the twenty twenty four election is that if
- 28:05Speaker 7: there is a complicated enough mix of social and policy
- 28:09Speaker 7: issues before voters, abortion is not winning the day as
- 28:14Speaker 7: the overriding decision. Whether it was the economy or or
- 28:16Speaker 7: you know, any number of other things. Abortion did not
- 28:19Speaker 7: carry the day with voters in Abortion rights did not,
- 28:22Speaker 7: and you know, in the presidential election, and I think
- 28:24Speaker 7: it's going to be an interesting question to see whether
- 28:27Speaker 7: that shifts at all as we approach the next elections.
- 28:31Speaker 2: So where do you see the battle for abortion rights
- 28:35Speaker 2: in the future.
- 28:36Speaker 7: I mean, I think we're clearly seeing that, you know,
- 28:39Speaker 7: the state battle grounds are the centerpiece of the fight.
- 28:43Speaker 7: But I think, you know, it's going to be really
- 28:45Speaker 7: interesting to see what happens at the FDA and at
- 28:48Speaker 7: the Supreme Court. One of the really interesting battles to
- 28:51Speaker 7: watch is the battle over shield laws. We currently have
- 28:54Speaker 7: doctors in abortion permissive states, or at least one doctor
- 28:58Speaker 7: being prosecuted criminally, you know, by assul abortion restrictive states,
- 29:04Speaker 7: and you know, this battle going on over whether doctors
- 29:07Speaker 7: can practice across state lines to provide abortion care. So
- 29:10Speaker 7: Spring Court's going to have to weigh in on that issue.
- 29:12Speaker 7: We're going to have the FDA making some decision on
- 29:15Speaker 7: and the Spreme Court likely also called on to weigh
- 29:18Speaker 7: access to mister prissonis the abortion medication. So I do
- 29:22Speaker 7: think there's a lot of game left to be played,
- 29:25Speaker 7: but I suspect it's less at the ballot box nationally
- 29:28Speaker 7: and much more with referenda at the state level and
- 29:32Speaker 7: decisions before the Federal Supreme Court and state Supreme courts
- 29:35Speaker 7: as this continues to play out.
- 29:37Speaker 2: Thanks so much, Harry. That's Healthcare at Journey Harry Neilson,
- 29:41Speaker 2: and that's it for this edition of The Bloomberg Law Show.
- 29:43Speaker 2: Remember you can always get the latest legal news on
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- 30:02Speaker 2: you're listening to Bloomberg MHM.